DRS Eden and Young, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DRS EDEN AND YOUNG, D.D.S., P.A.

Practice address

715 Baltimore Blvd
Westminster, MD 21157-6105

Phone

(410) 875-3372

Fax

(410) 875-0891

NPI assigned

May 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Amos Young, D.D.S.

Title

President

Phone

(410) 875-3372

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881816171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BALTIMORE BLVD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576105",
            "telephone_number": "410-875-3372",
            "fax_number": "410-875-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BALTIMORE BLVD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576105",
            "telephone_number": "410-875-3372",
            "fax_number": "410-875-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS EDEN AND YOUNG, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "AMOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-875-3372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Westminster, MD
• Providers in Westminster, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.